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Washington rates for HCPCS 90630

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $228.70 / $228.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $20.34 / $82.43